The International Society of the Rorschach and Projective Methods (ISR)

home / about / application individual members /application national societies / executives / by-laws / addresses / test / rorschachiana / bulletin / orders

Application for Individual Membership

I wish to become an individual member of the International Society of the Rorschach and Projective Methods. Please submit this request to the Membership Committee.

First Name, Middle Name:
Name:
Sex: male female
Date of Birth:
Preferred mailing address:
Country:
e-mail:

Is there a national group or Rorschach Society in your country that is a member organization of the International Society of the Rorschach and Projective Methods?

yes
no

(If you respond yes, please respond to the following question, if no, go on to the next section redarding education)

If yes, are you a member of that organization?

yes  
no  
(if no, why not?)

Education

Highest degree:
Year awarded:
Institution:
Field of study:

Employment (Current employment, dates. Graduate students: Enter name of university you are attending)

Do you currently hold a license or certificate to practice?

yes
no

Have you attended an ISR congress?

yes  
no  
(if so, where?)

Payments / Conditions

I wish to pay my application fee and dues by

check (enclosed)
credit card
  (if credit card, please specify which one)
  EUROCARD/MasterCard
  VISA card
    number:
    expiration date:

I certify the information provided above is accurate and correct.

Signature of applicant: _____________________________________________
Date: _____________________________________________

Please print this form and return it to:

Mrs Trudi Finger
Treasurer, International Society of the Rorschach
and Projective Methods
c/o Hans Huber Publishers, Hogrefe AG
Länggass-Strasse 76
P.O. Box
CH-3000 Bern 9
Switzerland

webmaster@rorschach.com, last update: 03.10.2007